Renal Resistive Index: Not Only for Kidney Clinics

J Ultrasound Med. 2022 Apr;41(4):1027-1030. doi: 10.1002/jum.15775. Epub 2021 Jul 2.

Abstract

Renal Resistive Index (RRI) is a measurement of the resistance of the renal blood flow. A value higher than 0.70 is a marker of increased resistance and is correlated with kidney injury and its severity. Additionally, it may be associated with the mortality rate in the post-surgery population. In COVID-19 subjects, we found that high RRI has been associated with high levels of serum C-reactive protein, a marker of systemic inflammatory reaction syndrome. Finally, we propose RRI not only as a marker of kidney injury, but also as a tool to evaluate the course of critical illness.

Keywords: C-reactive protein; COVID-19; acute kidney injury; hemodynamics; systemic inflammatory response syndrome; ultrasounds.

MeSH terms

  • COVID-19*
  • Humans
  • Kidney
  • SARS-CoV-2
  • Ultrasonography, Doppler*
  • Vascular Resistance